Healthcare Provider Details

I. General information

NPI: 1649228339
Provider Name (Legal Business Name): RONALD J GELZUNAS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 11/23/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 NEW JERSEY AVE
NORTH WILDWOOD NJ
08260-2734
US

IV. Provider business mailing address

1200 NEW JERSEY AVE
NORTH WILDWOOD NJ
08260-2734
US

V. Phone/Fax

Practice location:
  • Phone: 609-522-3131
  • Fax: 609-522-9024
Mailing address:
  • Phone: 609-522-3131
  • Fax: 609-522-9024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMB018213
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: